Isosorbide dinitrate spray-stimulated tilt test for diagnosis of vasovagal syncope in children and adolescents


Ergul Y. , Nisli K. , Dindar A., Aydogan U., Omeroglu R. N. , Ertugrul T.

TURK PEDIATRI ARSIVI-TURKISH ARCHIVES OF PEDIATRICS, vol.44, no.3, pp.94-98, 2009 (Journal Indexed in SCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 44 Issue: 3
  • Publication Date: 2009
  • Title of Journal : TURK PEDIATRI ARSIVI-TURKISH ARCHIVES OF PEDIATRICS
  • Page Numbers: pp.94-98

Abstract

Aim: Vasovagal syncope (neurocardiogenic) is the most common cause of syncope in childhood. It is generally more common among adolescent girls and rare before the age of 10 years. Head-up tilt table test provides the ability to provoke vasovagal test and helps to document the type of response by cardiac rhythm and blood pressure monitorization. If basal tilt test is negative, pharmacologic stimulation with isoproterenol or isosorbide dinitrate (ISDN) administiration may increase the sensitivity of the test.